Healthcare Provider Details

I. General information

NPI: 1104292986
Provider Name (Legal Business Name): SURGICAL ASSISTANT SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2015
Last Update Date: 08/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7844 W FRIEND DR
LITTLETON CO
80128-5547
US

IV. Provider business mailing address

7844 W FRIEND DR
LITTLETON CO
80128-5547
US

V. Phone/Fax

Practice location:
  • Phone: 720-442-2988
  • Fax:
Mailing address:
  • Phone: 720-442-2988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. MIKHAIL DRUZHININ
Title or Position: OWNER
Credential: CSFA
Phone: 720-442-2988